Individual
SOPHIA CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057006084
IL
224Z00000X
Occupational Therapy Assistant
6569
AZ
Other
Enumeration date
07/01/2016
Last updated
08/02/2024
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